NP / PA
Burns, Nicole
Burns, Nicole was paid $404K by Medicaid between May 2018 and Aug 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoBURNS, NICOLE
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1235597139assigned 02/05/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$404K
24GClaims11,068
24DCodes billed15
24AFirst – last monthMay 2018 – Aug 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Rhode Island
Rank by total paid#15 of 266
Median peer was paid$31K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 87 | $4K | |
| 2019 | 65 | $3K | |
| 2020 | 50 | $2K | |
| 2021 | 3,747 | $104K | |
| 2022 | 2,911 | $122K | |
| 2023 | 3,435 | $133K | |
| 2024incomplete | 773 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 4,957 | 4,850 | $233K |
| 87428 | 25% | 1,775 | 1,757 | $101K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 9.5% | 1,228 | 1,205 | $38K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 1,107 | 1,098 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.4% | 895 | 440 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118 | 117 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 31 | 29 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 27 | 27 | $2K |
| 81025 | <1% | 320 | 318 | $2K | |
| 80061 | Lipid panel | <1% | 25 | 25 | $744.99 |
| 81002 | <1% | 356 | 355 | $715.78 | |
| 87210 | <1% | 190 | 170 | $618.60 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.